Professional Documents
Culture Documents
June 12-16 , 2017 8:30am-12noon St. Marys Catholic Church, Ponca City
Office phone: 580-382-6010 Volunteers are always appreciated. Please call if you are interested.
$10= 1 child, $20=2 children $25= 3+ children Optional t-shirt: $12 each (by May 22nd)
Please return completed form by _June 5th or May 22nd for t-shirt_____________________
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Childs Information:
Name: _________________________________________________________________________
Family Information:
Address: _______________________________________________________________________
Email: _________________________________________________________________________
Emergency Contact:
Name: _________________________________________________________________________
________________________________________________________________________ __________________________________
Parent / Guardian Signature Date